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Lecture Craniofacial Limoudei Hemsech

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35<br />

Romberg’s disease<br />

(Progresive facial<br />

hemiatrophy)<br />

• First or second decade of life. F:M 1.5:1<br />

• Unilateral in 95% of cases<br />

Etiology?<br />

• Infection, scleroderma,cervical<br />

sympathetic loss.<br />

• Progresive hemifacial atrophy of skin,<br />

soft tissue and bone.<br />

• Coup de sabre sign in 50%.

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